BENJAMIN CHAN (Credential# 1594463) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BENJAMIN CHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062052. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 100 East Way, Mount Kisco, NY 10549-3507. The current status is active.
| Licensee Name | BENJAMIN CHAN |
| Credential ID | 1594463 |
| Credential Number | 1.062052 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 East Way Mount Kisco NY 10549-3507 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-24 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1611094 | CSP.0069776 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 100 EAST WAY |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-3507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie Dychiao | 100 East Way, Mount Kisco, NY 10549-3507 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison Anne Drieves | 3001 Canterbury Way, Mount Kisco, NY 10549 | Licensed Clinical Social Worker | ~ |
| Jacob Karro Routhier | 43 Bayberry Ln, Mount Kisco, NY 10549 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Luigi Demasi | 105 Smith Ave, Mt Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ira J Grandberg | 117 East Main St, Mt Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kenneth R Nadler | 103 So Bedford Rd, Mt Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sid Schlomann | 3 Petersville Road, Mount Kisco, NY 10549 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jooyoung Lee Dds | 6 Dickson Ln, Bedford Corners, NY 10549 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Ana C Cannato · Cardenas | 25-503 Barker Street, Mt Kisco, NY 10549 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Marjorie J Strelzyn | 15 Courtmel Road, Mount Kisco, NY 10549 | Optometrist | 2020-06-01 ~ 2021-05-31 |
| Alice Cerwinski | 122 Manchester Drive, Mount Kisco, NY 10549 | Notary Public Appointment | 2015-05-01 ~ 2020-04-30 |
| Find all Licenses in zip 10549 | |||
| City | MOUNT KISCO |
| Zip Code | 10549 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MOUNT KISCO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Konrad K-y Chan | 700 Sir John A Mac, Kingston On K7m 1a4 | Physician/surgeon | ~ 1999-06-30 |
| Michelle P Chan Do | 15 Redcoat Rd, Norwalk, CT 06850 | Physician/surgeon | 2008-06-09 ~ 2009-03-31 |
| Brandon W. Chan | 126 Marlboro Dr, Mcmurray, PA 15317-3651 | Physician/surgeon | 2014-03-28 ~ 2014-09-30 |
| Jae Chan Kim | 43 Tweed Blvd, Nyack, NY 10960 | Physician/surgeon | 2003-01-02 ~ 2003-12-31 |
| Daniel Chan Md | 1 Jennifer Lane, Westport, CT 06880 | Physician/surgeon | 2001-03-01 ~ 2002-04-30 |
| Kang G Chan | 364 Shea Drive, New Milford, NJ 07646 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
| Brenda S Chan Md | 30 Commerce Road, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kwok O Chan | 156 Fairway Xing, Glastonbury, CT 06033 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Belinda Juliet Chan Md | 420 E Main St, Branford, CT 06405-2940 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carolyn Anne Chan | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).